HomeMy Public PortalAbout10765 FREER ST_Building__ •76A638A CE 9803 1/71 ,
APPLICATION O BUIL PERMIT
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL-_-
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS//,/,
COLEMAN W. JENKINS, 'SUP-T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
Pnnfor tyDe onl CROSS ST. _
DISTRI T NO. GROUP TYPE, CESS 1
BUILDING - - CONS -.
ADDRESS ® 6� F _ t'Or-21 I I _
,STATISTICAL (-I(-I AS51FICATIOIqSEWER MAP
LOT NO BLOCK CLASS NO.---'I /y
DWELL,UNITSBK PG
TRACT USE Z9N MAP -NO.OF BL^DGS. p nNO., _-
SIZE OF LOT NOW ON LOT �Il' SPECIAL
USE OF CONDITIONS ;
EXISTING BLDG. C_ '
TEL. -
OWNER //0 NO. BLDG.SETBACK FROM .
ADDRESS � �i FRONT PROP.LINE OF --- -- - - - (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTXL
CITY C,'�V HIGHWAY WIDTH FROM G.L.
ARCHITECT OR TEL. + H
ENGINEER -NO. ,BLDG.SETBACK FROM
ADDRESS SIDE PROP..LINE OF - -- (STREET)
t�
TEL. TYPE OF EXISTING SETBACK ,HIGHWAY + YARD = TOTAL CL
•CONTRACTORAPA// �7AHESC+ RCFO :1W NHIGHWAY WIDTH FROM C.L. - U
ADDRESS 37" - qMK f� NO.OZ,6 � + CD
CITY ,( 14 O C F, _ CLASS L CO_RNE_R CUTOFF. YES_❑ NO' ❑
CONSTRUCTION LEND15R
NAME AND BRANCH, SEE REVERS_ E SIDE FOR SPECIAL APPROVALS
ADDRESS
SQ. FT.• NO. OF NO. OF,: NEW ❑ - _
SIZE ST RIES FAMI IES ❑
USE OF ADD
STRUCTURE
ALTER.❑
SIGNATURE t4
REPAIR❑ '
APPLICANT - - DEMOL ❑ -
VALUATION $ 6' OG y ---
APPROVALS DATE 'INSPECTOR•s-SIGNATURE
P.C. PMT.• ,/ C� FOUNDATIONS LOCATION. -
FEE $ FEE $ / FORMS, MATERIALS
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS _
'AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS '
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED '
HEREBY .1 WILL NOT EMPLOY ANY PERSON N VIOLATION 'OF THE LATH, INT. -
LABOR CODE OF THE STATE OF CALIF R IA IN RELATING TO - - - - --- �
WORKMEN'S COMPENSATIO INS RANCE. LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS - FINAL
JOHN F LEWIS. PRINCIPAL ST CTU AL ENGINEER
'PLAN CHECK VALIDATION CK M O CASH _ PERMIT VALIDATION CK M O A H
o ?
S�'3 6 �3"p' 14 ' l D 1 2.0-0,